Weiland G
Institute of Comparative Tropical Medicine and Parasitology, University of Munich, Federal Republic of Germany.
Trop Med Parasitol. 1989 Jun;40(2):220-1.
Various immunodiagnostic methods have been employed for the demonstration of specific antischistosomal antibodies. Serological assays are generally less sensitive, less specific and less reproducible than parasitological tests. Positive serological results do not indicate the intensity of infection or differentiate active or chronic infection. If their limitations are recognized and taken into account are serological tests of use in human schistosomiasis control. The diagnosis schistosomiasis should be based on a combination of clinical symptoms, history of residence in endemic or non-endemic areas, parasitological examinations, and serological findings.
已采用多种免疫诊断方法来检测特异性抗血吸虫抗体。血清学检测通常比寄生虫学检测灵敏度更低、特异性更差且重复性更弱。血清学检测呈阳性结果并不表明感染强度,也无法区分现症感染或慢性感染。如果认识到其局限性并加以考虑,血清学检测在人类血吸虫病防治中是有用的。血吸虫病的诊断应基于临床症状、在流行区或非流行区居住史、寄生虫学检查以及血清学检查结果的综合判断。